Harmonic scalpel
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Prevention and management of bleeding in thyroid surgery Open
Post-thyroidectomy neck hematoma represents a major concern for surgeons because it can result in severe and even life-threatening complications. In fact, postoperative hemorrhage may result in airway compression and respiratory distress, …
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Evaluation and Comparison of Contemporary Energy-Based Surgical Vessel Sealing Devices Open
In this study, C5 outperformed all other devices. However, all of the devices provide a seal that was superphysiologic in that all burst pressures were >250 mm Hg.
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Thyroidectomy with energy-based devices: surgical outcomes and complications—comparison between Harmonic Focus, LigaSure Small Jaw and Thunderbeat Open Fine Jaw Open
HF, LSJ and TB have proved to be safe and effective. The postoperative stay and complications were comparable between the three groups. Considering the limits of our investigation, further studies are needed to investigate the effect of TB…
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A novel technique of harmonic tissue dissection reduces seroma formation after modified radical mastectomy compared to conventional electrocautery: a single-blind randomized controlled trial Open
Harmonic dissection technique leads to significant decreases in intraoperative blood loss, total drainage volume and postoperative seroma in terms of shorter drain duration with a minimal increase in the operative time and better quality o…
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The impact of the ultrasonic, bipolar and integrated energy devices in the adrenal gland surgery: literature review and our experience Open
Analyzing the results, laparoscopic adrenalectomy carried out using Thunderbeat appeared to show a statistically significant decrease in operation time and intraoperative blood losses compared with laparoscopic adrenalectomy performed usin…
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Post-tonsillectomy pain after using bipolar diathermy scissors or the harmonic scalpel: a randomised blinded study Open
Usage of the harmonic scalpel does not render less postoperative pain following tonsillectomy when compared with usage of the bipolar diathermy scissors.
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Harmonic Scalpel versus Monopolar Electrocauterization in Cholecystectomy Open
Laparoscopic cholecystectomy using conventional monopolar electrocautery is as effective and safe as that with the Harmonic scalpel, for treating uncomplicated cholecystitis and cholelithiasis.
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A meta-analysis comparing the outcomes of LigaSure Small Jaw versus clamp-and-tie technique or Harmonic Focus Scalpel in thyroidectomy Open
In conclusion, LS Small Jaw is more favorable than clamp-and-tie technique or Harmonic Focus Scalpel in thyroidectomy.
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Harmonic versus LigaSure hemostasis technique in thyroid surgery: A meta-analysis Open
Harmonic scalpel and LigaSure vessel sealing systems have been suggested as options for saving surgical time and reducing postoperative complications. The aim of the present meta-analysis was to compare surgical time, postoperative complic…
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Validation of Ultrasonic Harmonic Scalpel for Real-Time Tissue Identification Using Rapid Evaporative Ionization Mass Spectrometry Open
In this study, we integrate rapid evaporative ionization mass spectrometry (REIMS) with the Harmonic scalpel, an advanced laparoscopic surgical instrument that utilizes ultrasound energy to dissect and coagulate tissues. It provides unpara…
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Comparing the Harmonic Scalpel with Electrocautery in Reducing Postoperative Flap Necrosis and Seroma Formation after Modified Radical Mastectomy in Carcinoma Breast Patients: A Double-Blind Prospective Randomized Control Trail Open
Introduction Only a few studies compare the efficacy of the harmonic scalpel and electrocautery in performing mastectomies, and these have mainly compared their intraoperative parameters. But the main concern with electrocautery is the inc…
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A systematic review and meta-analysis of Harmonic technology compared with conventional techniques in mastectomy and breast-conserving surgery with lymphadenectomy for breast cancer Open
In this meta-analysis of both mastectomy and BCS procedures, the use of Harmonic technology reduced the risk of most complications by about half across breast cancer surgery patients. These benefits may be due to superior hemostatic capabi…
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Clip as Nidus for Choledocholithiasis after Cholecystectomy—Literature Review Open
We found that the harmonic scalpel is a reasonable alternative with minimal complications but is however limited by cost. Electrosurgical vessel-sealing, ultrasonic shears, absorbable sutures such as endoloops (PDS), and polymer clips as w…
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Safety and Cost-effectiveness of LigaSure® in Total Thyroidectomy in Comparison with Conventional Suture Tie Technique Open
LigaSure was significantly advantageous over conventional technique in reducing risk of complications and operation time as well as perioperative and postoperative blood loss. The reduction of operative times resulted in decreased operatin…
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Comparison between LigaSure™ and Harmonic® in Laparoscopic Sleeve Gastrectomy: A Single-Center Experience on 422 Patients Open
Background . New laparoscopic devices, such as electrothermal bipolar-activated devices (LigaSure™ (LS)) or ultrasonic systems (Harmonic® scalpel (HS)), have been applied recently to bariatric surgery allowing to reduce blood loss and surg…
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Harmonic Scalpel-Assisted Laparoscopic Cholecystectomy vs. Conventional Laparoscopic Cholecystectomy - A Non-randomized Control Trial Open
Introduction Laparoscopic cholecystectomy (LC) is the most commonly done, minimally invasive surgical procedure. Routinely used electrocautery produces more smoke, which masks the operating field, thereby prolongs the surgery and posing an…
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Is the superior laryngeal nerve really safe when using harmonic focus in total thyroidectomy? A prospective randomized study Open
To the best of our knowledge, this is the first study comparing conventional technique with HF in total thyroidectomy, focusing on the function of the external branch of the superior laryngeal nerve using laryngostroboscopy; results showed…
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A comparative study of the use of harmonic scalpel versus unipolar cautery in modified radical mastectomy Open
The use of harmonic scalpel versus electrocautery is somewhat advantageous but not cost-effective.
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Comparing LigasureTM Exact dissector with other energy devices in total thyroidectomy: a pilot study Open
Energy devices are now frequently used in thyroidectomy. Comparing these devices seems to qualify them as equal concerning post-operative complications, hemostasis, and acute inflammatory reaction. However, LigasureTM Exact Dissector seems…
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The effects of scalpel, harmonic scalpel and monopolar electrocautery on the healing of colonic anastomosis after colonic resection Open
The use of monopolar electrocautery needs more attention since the device causes tissue destruction. The obliterating effect of harmonic scalpel on luminal organs is an important problem, especially if an anastomosis is planned. Despite th…
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Harmonic scalpel impact on blood loss and operating time in major head and neck surgery: A randomized clinical trial Open
Background Long operating time and high blood loss contribute to post-surgical morbidity. Therefore, strategies to reduce these factors should to be tested using robust methods. The purpose of this study was to evaluate the impact of using…
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Comparison of postoperative bleeding using harmonic scalpel and LigaSure in thyroid surgery: a 15-year single-centre retrospective study Open
<p><strong>Aim</strong> <br />Thyroidectomy is the most common operation in the field of endocrine surgery. The aim of this study was to compare the use of LigaSure vessel (LS) and harmonic scalpel (HS) in 1653 tota…
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Comparison of the vessel sealer Extend® with harmonic ACE® in robotic bilateral axillary-breast approach thyroid surgery Open
VSE can be safely applied to robotic BABA thyroid surgery.
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Comparison of hemorrhoidectomy using harmonic scalpel and electrocautery: A randomized controlled trial Open
Aim: Hemorrhoids of grade III and IV require surgical management. Recurrence and postoperative pain have been reported to be associated with the type of surgical method. The aim of this study was to compare the hemorrhoidectomy using harmo…
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Comparison of surgical outcomes and complications between the Harmonic FOCUS and conventional surgery for open thyroidectomy Open
The aim of the present study was to evaluate the potential advantages of the ultrasonic scalpel compared with the conventional technique in thyroid surgery. Patients with resectable thyroid cancer and Basedow's disease were assigned to ult…
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A modified technique of single-incision laparoscopic hepaticojejunostomy for children with choledochal cysts Open
Background To present a modified laparoscopic surgical technique that works to optimize the surgical view in laparoscopic total excision of choledochal cyst in pediatric patients. Methods From June 2015 to June 2017, a total of 48 pediatri…
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Ultrasonic Cutting and Coagulating Device in Implant-based Breast Reconstruction Open
Dear Sir, We have found a lot of interest in using ultrasonic cutting and coagulating instrument (Harmonic Scalpel, Johnson and Johnson, New Jersey). This multifunctional device presents a few advantages when compared with traditional elec…
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Harmonic scalpel compared with conventional open (Milligan-Morgan) method in surgical management of symptomatic haemorrhoids Open
Background: There have been many attempts to find less painful surgical methods for treating haemorrhoids. Harmonic scalpel is a device that simultaneously cuts and coagulates soft tissues through ultrasonic vibrations. The aim of this stu…
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Pediatric robotic‐assisted laparoscopic ureterocalycostomy: Salient tips and technical modifications for optimal repair Open
Introduction Ureterocalycostomy is a necessary option for renal salvage in cases where conventional reconstructions have failed or as a primary option in anatomic situations such as intrarenal pelvis, malrotated, or horseshoe kidney. The p…
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Sutureless versus conventional thyroidectomy Open
Background: The thyroid gland is a highly-vascularized organ, prompt and effective hemostasis is a crucial part of the procedure. Nowadays with the major advent of energy devices such as ultrasonic coagulation (Harmonic Scalpel, Ethicon) a…